CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: The Children's Mercy Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 1.3× the $35 Medicare rate · typically $24–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $3 over the fair price · 1.4× Medicare
Medicare pays $35 Fair price $46 This hospital $49 Cash price $74 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $49

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $46 (about 1.3× the $35 Medicare rate). The Children's Mercy Hospital charges insurers about $49, or about $74 in cash — about the fair price. Located in Kansas City, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $27 - $112 77%
Blue Cross Blue Shieldmajor $40 - $124 114%
Aetnamajor $51 - $124 145%
Cignamajor $14 - $116 40%
Humanamajor $62 - $111 177%
Health Net $104 - $124 297%
HealthLink $47 - $147 134%
Medica $82 - $97 234%
+ 11 smaller / regional plans $29 - $142
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens